NPI | 1487130050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 10482) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 10482) | |
225400000X Rehabilitation Practitioner (Licence: CA 10482) | |
Enumeration Date | 2018-07-16 |
Last Update Date | 2025-04-10 |